Medical travel among non-Seoul residents to seek prostate cancer treatment in medical facilities of Seoul

Jae Heon Kim, So Young Kim, Seok Joong Yun, Jae Il Chung, Hoon Choi, Ho Song Yu, Yun Sok Ha, In Chang Cho, Hyung Joon Kim, Hyun Chul Chung, Jun Sung Koh, Wun Jae Kim, Jong Hyock Park, Ji Youl Lee

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose This study aims to investigate the trend in medical travel by non-Seoul residents to Seoul for treatment of prostate cancer and also to investigate the possible factors affecting the trend. Materials and Methods This study represents a retrospective cohort study using data from the Korean National Health Insurance System from 2002 to 2015. Annual trends were produced for proportions of patients who traveled according to the age group, economic status and types of treatment. Multiple logistic analysis was used to determine factors affecting surgeries at medical facilities in Seoul among the non-Seoul residents. Results A total of 68,543 patients were defined as newly diagnosed prostate cancer cohorts from 2005 to 2014. The proportion of patients who traveled to Seoul for treatment, estimated from cases with prostate cancer-related claims, decreased slightly over 9 years (28.0 at 2005 and 27.0 at 2014, p=0.02). The average proportion of medical travelers seeking radical prostatectomy increased slightly but the increase was not statistically significant (43.1 at 2005 and 45.4 at 2014, p=0.26). Income level and performance of robot-assisted radical prostatectomy were significant positive factors for medical travel to medical facilities in Seoul. Combined comorbidity diseases and year undergoing surgery were significant negative factors for medical travel to medical facilities in Seoul. Conclusion The general trend of patients travelling from outside Seoul for prostate cancer treatment decreased from 2005 to 2014. However, a large proportion of traveling remained irrespective of direct distance from Seoul.

Original languageEnglish
Pages (from-to)53-64
Number of pages12
JournalCancer Research and Treatment
Volume51
Issue number1
DOIs
Publication statusPublished - 2019 Jan 1

Fingerprint

Prostatic Neoplasms
Prostatectomy
Therapeutics
National Health Programs
Seoul
Comorbidity
Cohort Studies
Retrospective Studies
Age Groups
Economics

Keywords

  • Geography
  • Health services accessibility
  • Neoplasms
  • Prostate
  • Prostatectomy

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Medical travel among non-Seoul residents to seek prostate cancer treatment in medical facilities of Seoul. / Kim, Jae Heon; Kim, So Young; Yun, Seok Joong; Chung, Jae Il; Choi, Hoon; Yu, Ho Song; Ha, Yun Sok; Cho, In Chang; Kim, Hyung Joon; Chung, Hyun Chul; Koh, Jun Sung; Kim, Wun Jae; Park, Jong Hyock; Lee, Ji Youl.

In: Cancer Research and Treatment, Vol. 51, No. 1, 01.01.2019, p. 53-64.

Research output: Contribution to journalArticle

Kim, JH, Kim, SY, Yun, SJ, Chung, JI, Choi, H, Yu, HS, Ha, YS, Cho, IC, Kim, HJ, Chung, HC, Koh, JS, Kim, WJ, Park, JH & Lee, JY 2019, 'Medical travel among non-Seoul residents to seek prostate cancer treatment in medical facilities of Seoul', Cancer Research and Treatment, vol. 51, no. 1, pp. 53-64. https://doi.org/10.4143/crt.2017.468
Kim, Jae Heon ; Kim, So Young ; Yun, Seok Joong ; Chung, Jae Il ; Choi, Hoon ; Yu, Ho Song ; Ha, Yun Sok ; Cho, In Chang ; Kim, Hyung Joon ; Chung, Hyun Chul ; Koh, Jun Sung ; Kim, Wun Jae ; Park, Jong Hyock ; Lee, Ji Youl. / Medical travel among non-Seoul residents to seek prostate cancer treatment in medical facilities of Seoul. In: Cancer Research and Treatment. 2019 ; Vol. 51, No. 1. pp. 53-64.
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abstract = "Purpose This study aims to investigate the trend in medical travel by non-Seoul residents to Seoul for treatment of prostate cancer and also to investigate the possible factors affecting the trend. Materials and Methods This study represents a retrospective cohort study using data from the Korean National Health Insurance System from 2002 to 2015. Annual trends were produced for proportions of patients who traveled according to the age group, economic status and types of treatment. Multiple logistic analysis was used to determine factors affecting surgeries at medical facilities in Seoul among the non-Seoul residents. Results A total of 68,543 patients were defined as newly diagnosed prostate cancer cohorts from 2005 to 2014. The proportion of patients who traveled to Seoul for treatment, estimated from cases with prostate cancer-related claims, decreased slightly over 9 years (28.0 at 2005 and 27.0 at 2014, p=0.02). The average proportion of medical travelers seeking radical prostatectomy increased slightly but the increase was not statistically significant (43.1 at 2005 and 45.4 at 2014, p=0.26). Income level and performance of robot-assisted radical prostatectomy were significant positive factors for medical travel to medical facilities in Seoul. Combined comorbidity diseases and year undergoing surgery were significant negative factors for medical travel to medical facilities in Seoul. Conclusion The general trend of patients travelling from outside Seoul for prostate cancer treatment decreased from 2005 to 2014. However, a large proportion of traveling remained irrespective of direct distance from Seoul.",
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AU - Yu, Ho Song

AU - Ha, Yun Sok

AU - Cho, In Chang

AU - Kim, Hyung Joon

AU - Chung, Hyun Chul

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AU - Park, Jong Hyock

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AB - Purpose This study aims to investigate the trend in medical travel by non-Seoul residents to Seoul for treatment of prostate cancer and also to investigate the possible factors affecting the trend. Materials and Methods This study represents a retrospective cohort study using data from the Korean National Health Insurance System from 2002 to 2015. Annual trends were produced for proportions of patients who traveled according to the age group, economic status and types of treatment. Multiple logistic analysis was used to determine factors affecting surgeries at medical facilities in Seoul among the non-Seoul residents. Results A total of 68,543 patients were defined as newly diagnosed prostate cancer cohorts from 2005 to 2014. The proportion of patients who traveled to Seoul for treatment, estimated from cases with prostate cancer-related claims, decreased slightly over 9 years (28.0 at 2005 and 27.0 at 2014, p=0.02). The average proportion of medical travelers seeking radical prostatectomy increased slightly but the increase was not statistically significant (43.1 at 2005 and 45.4 at 2014, p=0.26). Income level and performance of robot-assisted radical prostatectomy were significant positive factors for medical travel to medical facilities in Seoul. Combined comorbidity diseases and year undergoing surgery were significant negative factors for medical travel to medical facilities in Seoul. Conclusion The general trend of patients travelling from outside Seoul for prostate cancer treatment decreased from 2005 to 2014. However, a large proportion of traveling remained irrespective of direct distance from Seoul.

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